Assignment: Article Review

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
Identify and select 4 peer-reviewed research articles from your research.
For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies
The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
Include an introduction explaining the purpose of the paper.
Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
Use APA format and include a title page.

The use of the clinical system has become popular in the nursing field. Implementing this system improves the quality and safety of care, thus enhancing healthcare outcomes and patient satisfaction. Assignment: Article Review. This assignment will focus on reviewing the use of portals to support patients newly diagnosed with diabetes.

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Annotated Bibliography

Sun, R., Korytkowski, M. T., Sereika, S. M., Saul, M. I., Li, D., & Burke, L. E. (2018). Patient portal use in diabetes management: a literature review. JMIR Diabetes, 3(4), e11199.

This study was conducted by Sun et al. (2018) primarily to evaluate the use of the patient portal in the management of diabetes following the high prevalence of Diabetes mellitus (DM) among the public members. This study indicates that the prevalence of diabetes among adults in the US is 1 in every 10 individuals and this number is anticipated to triple by 2050. The trend will have an enormous impact on the US economy and the health care system. Therefore, the implementation of patient portals would enhance the effective management of diabetes through continuous collaboration between care providers and diabetic individuals. The study findings indicate that an increase in the portal usage resulted in a decline in HbA1c. Additionally, people with diabetes who were using the diabetes management system could control their LDL, BP, or weight better than those in the usual care group. Moreover, a lower LDL was achieved following the use of Web-based medication refill requests. Finally, better control was reported among the patients who had uncontrolled BP initially.Assignment: Article Review.  These results were achieved after using the Web-based medication refill function. Thereby, it is learned that implementing a patient portal leads to the effective management of diabetes, thereby lowering the high financial burden associated with the high prevalence of diabetes in the US.

Coughlin, S, S., Williams, L, B, & Hatzigeorgiou, C. (2017). A systematic review of studies of web portals for patients with diabetes mellitus. MHealth: A Journal for Research, 3 (6). https://mhealth.amegroups.com/article/view/15229/15319

This study aimed at reviewing the portals for patients with diabetes mellitus. The article states that over 29 million Americans are affected by diabetes, making it the sixth leading cause of mortality in the US. Additionally, Coughlin et al. (2017) have documented diabetes as the leading cause of various adults’ complications, including kidney failure, blindness, and lower-limb amputations. Consequently, the total economic cost of diabetes ranges from $245 billion to $322 billion in the US by 2012. Morbidity and mortality rates, and health outcomes can be achieved through effective glycemic control. Nonetheless, approximately 50% of diabetes patients lack the recommended glycemic control, necessitating incorporating web portals into their management program. Assignment: Article Review.  The study findings indicate that web portals supported secure messaging between clinicians and adult diabetic patients, thus improving glycemic control. Additionally, substantial improvements were reported in blood pressure and LDL cholesterol. Therefore, it is learned that the patient portal is effective in facilitating the management of diabetes mellitus.

Marsh, K, K., Bush, R, A., Connelly, C, D. (2020). Exploring perceptions and use of the patient portal by young adults with type 1 diabetes: A qualitative study. Health Informatics Journal. https://doi.org/10.1177/1460458220911780

            This study focuses on how a portal by young adults with type 1 diabetes is being perceived. Emerging adults aged between 18 and 30 years with chronic disease, especially type 1 diabetes mellitus, are supposed to start managing their health conditions. The patient portal would provide this patient population with an opportunity to keep in touch with their care providers due to their tendency to use electronic communication on mobile devices. The study findings indicate that the patient portal helps emerging adults to manage their T1DM. In particular, it resulted in significant improvement in glycemic control in this patient population. Thus, it is learned that the patient portal facilitates the management of T1DM in emerging adults.

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Devkota, B., Salas, J., Sayavong, S., & Scherrer, J, F. (2015). Use of an Online Patient Portal and Glucose Control in Primary Care Patients with Diabetes. Population Health Management 19(2): 1-7. DOI: 10.1089/pop.2015.0034

This study was conducted by Devkota et al. (2015) to evaluate the impact of online use of a patient portal on improving glycohemoglobin (HbA1c) in type 2 diabetics in a primary care setting. The study indicates that type 2 diabetes affects approximately 29.1 million Americans. This number represents around 8.3% of the total American population. For this reason, T2D was ranked as the seventh leading cause of death in the US by 2010. Its high morbidity rate necessitated the study to assess how the online patient portal can improve glucose control among diabetic patients in a primary care setting.Assignment: Article Review.  The study findings indicated that the patient portal lowered HbA1c levels significantly, thus enabling them to achieve A1c control. Therefore, it is learned that the patient portal is among the major tools of facilitating diabetes management among patients with T2D in a primary care setting.

Overall, the use of the patient portal has a significant impact on the management of diabetes. It facilitates secure messaging between the clinician and diabetic patient to improve health outcomes, including glycemic control and lowering HbA1c, LDL cholesterol, BP, and weight.

References

Coughlin, S, S., Williams, L, B, & Hatzigeorgiou, C. (2017). A systematic review of studies of web portals for patients with diabetes mellitus. MHealth: A Journal for Research, 3 (6). https://mhealth.amegroups.com/article/view/15229/15319

Devkota, B., Salas, J., Sayavong, S., & Scherrer, J, F. (2015). Use of an Online Patient Portal and Glucose Control in Primary Care Patients with Diabetes. Population Health Management 19(2): 1-7. DOI: 10.1089/pop.2015.0034

Marsh, K, K., Bush, R, A., Connelly, C, D. (2020). Exploring perceptions and use of the patient portal by young adults with type 1 diabetes: A qualitative study. Health Informatics Journal. https://doi.org/10.1177/1460458220911780

Sun, R., Korytkowski, M. T., Sereika, S. M., Saul, M. I., Li, D., & Burke, L. E. (2018). Patient portal use in diabetes management: a literature review. JMIR Diabetes, 3(4), e11199. Assignment: Article Review.